Individual provider Active NPI

Lisa L Leishman, M.D.

  • Ophthalmology Physician
  • Ogden, UT
National Provider Identifier
1932467198
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10408387-1205 Issued in UT
Practice address
4360 Washington Blvd
Ogden, UT 84403-1866
Phone
(801) 476-0494
Fax
(801) 479-3937
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD214276 OR
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 10408387-1205 UT Primary

Addresses

Primary practice location

4360 Washington Blvd
Ogden, UT 84403-1866

Mailing address

4360 Washington Blvd
Ogden, UT 84403-1866
Phone (801) 476-0494

Other practice location 1

214 W 1500 S Ste 300
Bountiful, UT 84010-7408
Phone (801) 476-0494

Other practice location 2

1972 W Grove Pkwy Ste 300
Pleasant Grove, UT 84062-6729
Phone (801) 476-0494

Other practice location 3

1025 E 3300 S
Millcreek, UT 84106-2849
Phone (801) 476-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OR, UT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180823000030 IL Practitioner - Ophthalmology 4587898432 Reassigns benefits to 1 organization
I20230711003210 OR Practitioner - Ophthalmology 4587898432 Reassigns benefits to 1 organization
I20251209004237 UT Practitioner - Ophthalmology 4587898432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Ogden Eye Center LLCGroup PAC ID 2860474962, 19 clinicians
Retina Care Center, LLCGroup PAC ID 1153315536, 2 clinicians

Practice addresses (Care Compare)

4360 Washington Blvd
Utah Eye Centers
Ogden, UT 84403-1866
Phone (801) 476-0494

748 State St
Medford, OR 97504-8473
Phone (541) 842-2020

Hospital & facility affiliations

  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10408387-1205UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Multi-Specialty Current Accepting new patients
Cook County Multi-Specialty CurrentSince Dec 24, 2018 Accepting new patients
Mt Ogden Eye Center LLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Retina Care Center, LLC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Cook County CurrentSince Dec 24, 2018 Accepting new patients
Mt Ogden Eye Center LLC Multi-Specialty Current Accepting new patients
Cataract & Lasik Center of Utah PC Multi-Specialty PastSince Sep 21, 2025 Accepting new patients
Central Eye Care LTD Multi-Specialty PastSince Jul 20, 2018 Accepting new patients
Cataract & Lasik Center of Utah PC PastSince Oct 9, 2022 Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1236 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-8200

748 State St
Medford, OR 97504
Phone (541) 772-5282

214 W 1500 S
Ste 300
Bountiful, UT 84010
Phone (801) 261-0726

1025 E 3300 S
Ste B
Millcreek, UT 84106
Phone (801) 281-2020

1025 E 3300 S
Millcreek, UT 84106
Phone (801) 221-2020

4360 Washington Blvd
Ogden, UT 84403
Phone (801) 476-0494

1972 W Grove Pkwy
Ste 300
Pleasant Grove, UT 84062
Phone (801) 224-6767

Interoperability endpoints

  • Direct secure messaging: l.leishman@utaheye.imwdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1932467198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 W 1500 S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840107408",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-677-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1972 W Grove Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840626729",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-221-1052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 E 3300 S",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841062849",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEISHMAN",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD214276",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "10408387-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.